| NPI | 1437241791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD ALAN CARLTON President 276-523-1123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: VA 0201000502) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2007-09-17 |